Objective

Our study assessed the impact of adding medical scribes to an academic pediatric primary practice by measuring the relationship between work relative value units (wRVUs) and use of the medical scribe.

Methods

This is a retrospective comparative study on the effect of medical scribes on average wRVUs per patient encounter. wRVUs were abstracted from procedure codes in the billing system.

Results

Six clinicians performed 2277 patient visits included in the study over 2 different time periods during 2017 and 2018. The first period was without the use of medical scribes and the second period included scribes. Average clinician wRVU production per visit increased by 7.68% (P < .001) with medical scribes over the previous period without them.

Conclusions

This study shows that scribes contribute to improving the wRVU per visit in a primary pediatric practice. This finding is consistent with other research showing that scribes help increase volume and improve wRVUs for specialists who perform complex procedures.

中文翻译：

---

抄写员对儿科初级保健实践中相对价值单位的影响

客观的

我们的研究通过测量工作相对价值单位（wRVU）与医疗抄写员之间的关系，评估了将医疗抄写员添加到学术儿科主要实践中的影响。

方法

这是一项回顾性比较研究，涉及医务人员对每位患者遭遇的平均wRVU的影响。wRVU是从计费系统中的过程代码中抽象出来的。

结果

六名临床医生在2017年和2018年的2个不同时间段进行了2277例患者访视。第一阶段不使用医疗医生，第二阶段包括医生。在没有抄写员的情况下，有抄写员的临床医生每次访问的平均wRVU产量增加了7.68％（P <.001）。

结论

这项研究表明，在初级儿科实践中，抄写员有助于改善每次就诊的wRVU。这一发现与其他研究结果一致，表明抄写员可帮助执行复杂程序的专家增加数量并改善wRVU。